The ventral tegmentum is considered to be part of the pleasure system, or reward circuit, one of the major sources of incentive and behavioural motivation. Activities that produce pleasure tend to activate the ventral tegmentum, and psychostimulant drugs (such as cocaine) directly target this area. Hence, it is widely implicated in neurobiological theories of addiction.

It is also shown to process various types of emotion and security motivation, where it may also play a role in avoidance and fear-conditioning.